| Groovy Dental PLLC | |
|
8701 W Parmer Ln Ste 200 Austin TX 78729-4941 | |
| (817) 808-9953 | |
| Not Available |
| Full Name | Groovy Dental PLLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8701 W Parmer Ln Ste 200, Austin, Texas |
| Authorized Official Name and Position | Alyssa C Dawson (GENERAL DENTIST) |
| Authorized Official Contact | 8178089953 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Groovy Dental PLLC 1104 Durham Dr Austin TX 78753-5818 Ph: (817) 808-9953 | Groovy Dental PLLC 8701 W Parmer Ln Ste 200 Austin TX 78729-4941 Ph: (817) 808-9953 |
| NPI Number | 1639750375 |
|---|---|
| Provider Enumeration Date | 04/15/2021 |
| Last Update Date | 04/15/2021 |
| Certification Date | 04/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639750375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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